心肌梗死患者血浆杀菌/通透性增加蛋白(BPI)水平与髓过氧化物酶-DNA(MPO-DNA)及S100A8/A9之间呈正相关。

Positive correlations between plasma BPI level and MPO-DNA and S100A8/A9 in myocardial infarction.

作者信息

Yu Shicheng, Li Miaonan, Li Zheng, Xu Pan, Yao Zhuoya, Qian Shaohuan, Qian Fudong, Gao Dasheng, Wang Hongju

机构信息

Anhui Provincial Hospital, Cheeloo College Of Medicine, Shandong University, Jinan, Shandong P.R. China.

Department Of Cardiology, Lu'an People's Hospital, Lu'an, Anhui P.R. China.

出版信息

Platelets. 2022 May 19;33(4):603-611. doi: 10.1080/09537104.2021.1962836. Epub 2021 Aug 13.

Abstract

Bactericidal/permeability-increasing protein (BPI) exhibits a number of important characteristics. RNA-seq analysis revealed that the BPI expression was increased in platelets of (non)ST-elevated myocardial infarction (NSTEMI/STEMI) patients. Activated platelets can induce NETosis which may be accompanied by the release of -DNA (MPO-DNA) and S100A8/A9. This study investigated the plasma BPI levels in myocardial infarction patients and its correlation with MPO-DNA and S100A8/A9. This prospective study recruited 80 control individuals, as well as 63 NSTEMI and 59 STEMI patients who were admitted to the First Affiliated Hospital of Bengbu Medical College for coronary angiography (CAG) and/or percutaneous coronary intervention (PCI) between May 1 2020 and August 31, 2020. Demographic and clinical characteristics, clinical indicators, hs-CRP, IL-1β, MPO-DNA (a circulated marker of NETs), circulating levels of S100A8/A9 and BPI were measured from each individual. The severity of coronary lesions was evaluated by the Gensini score, based on the results of the CAG. Pearson's or spearman's correlation was used to examine the correlation between BPI and the above-mentioned parameters, as well as the severity of coronary artery disease. Linear regression analysis was applied to identify the independent predictive factors of BPI. Received operating characteristic (ROC) curve analysis was used to evaluate the diagnostic efficacy of plasma BPI for MI. The plasma BPI levels increased by 8.76 times in the STEMI group and 5.38 times in the NSTEMI group compared to the control group. The plasma level of hs-CRP and IL-1β in both STEMI and NSTEMI groups were also significantly higher than the control group. In addition, the plasma levels of MPO-DNA and S100A8/A9 in the STEMI and NSTEMI groups were significantly higher than the control group. Plasma levels of BPI were positively correlated with IL-1β, hs-CRP, MPO-DNA and S100A8/A9. The correlation between BPI and the severity of coronary artery disease was also significant. The optimal cutoff value of plasma BPI was 35.1705 ng/ml for MI patients from the ROC curve analysis. Plasma BPI levels are increased in myocardial infarction patients and positively correlated with MPO-DNA and S100A8/A9. Plasma BPI level may serve as a potential biomarker of myocardial infarction.

摘要

杀菌/通透性增加蛋白(BPI)具有许多重要特性。RNA测序分析显示,(非)ST段抬高型心肌梗死(NSTEMI/STEMI)患者血小板中的BPI表达增加。活化的血小板可诱导中性粒细胞胞外陷阱形成(NETosis),这可能伴随着髓过氧化物酶-DNA(MPO-DNA)和S100A8/A9的释放。本研究调查了心肌梗死患者的血浆BPI水平及其与MPO-DNA和S100A8/A9的相关性。这项前瞻性研究招募了80名对照个体,以及63名NSTEMI患者和59名STEMI患者,这些患者于2020年5月1日至2020年8月31日入住蚌埠医学院第一附属医院接受冠状动脉造影(CAG)和/或经皮冠状动脉介入治疗(PCI)。测量了每个个体的人口统计学和临床特征、临床指标、hs-CRP、IL-1β、MPO-DNA(NETs的循环标志物)、S100A8/A9和BPI的循环水平。根据CAG结果,采用Gensini评分评估冠状动脉病变的严重程度。采用Pearson或Spearman相关性分析来检验BPI与上述参数以及冠状动脉疾病严重程度之间的相关性。应用线性回归分析确定BPI的独立预测因素。采用受试者工作特征(ROC)曲线分析评估血浆BPI对心肌梗死的诊断效能。与对照组相比,STEMI组血浆BPI水平升高8.76倍,NSTEMI组升高5.38倍。STEMI组和NSTEMI组的hs-CRP和IL-1β血浆水平也显著高于对照组。此外,STEMI组和NSTEMI组的MPO-DNA和S100A8/A9血浆水平显著高于对照组。血浆BPI水平与IL-1β、hs-CRP、MPO-DNA和S100A8/A9呈正相关。BPI与冠状动脉疾病严重程度之间的相关性也很显著。根据ROC曲线分析,MI患者血浆BPI的最佳截断值为35.1705 ng/ml。心肌梗死患者血浆BPI水平升高,且与MPO-DNA和S100A8/A9呈正相关。血浆BPI水平可能是心肌梗死的潜在生物标志物。

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